| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIMARTINO ASSOCIATES3 | 1501 FOURTH AVE, SUITE 2400 SEATTLE, WA 98901 | STANDARD INSURANCE COMPANY | $37K | — | $37K | 16.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE AND PENSION ADMIN SERVICES EIN 91-1363171 NONE | Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Plan Administrator; Claims processing; Direct payment from the plan Service code 10 | — | $161K |
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | — | $134K |
| BROWN AND BROWN OF WASHINGTON EIN 91-0378940 NONE | Consulting (general); Direct payment from the plan; Insurance agents and brokers Service code 16 | — | $109K |
| BENEFIT PLANS ADMIN SERVICES INC EIN 16-1503696 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Sub-transfer agency fees; Custodial (other than securities); Claims processing; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan Service code 12 | — | $93K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE | Direct payment from the plan; Other services Service code 49 | — | $46K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| WASHINGTON CAPITAL MANAGEMENT, INC EIN 91-1042342 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $20K |
| IFEBP NONE | Other services; Direct payment from the plan Service code 49 | 18700 W BLUEMOUND RD BROOKFIELD, WI 53045 | $20K |
| THE RHIZOME COLLABORATIVE NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 410 GREENBANK, WA 98253 | $17K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $14K |
| CHANGE HEALTHCARE NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 572490 MURRAY, UT 84157 | $9K |
| U.S. BANK, NA EIN 31-0841368 NONE | Direct payment from the plan; Custodial (other than securities); Custodial (securities) Service code 18 | — | $7K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 321 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 95 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 419 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WASHINGTON | 392 | $554K |
| Life insurance(2 contracts) | STANDARD INSURANCE COMPANY | 316 | $309K |
| Long-term disability | STANDARD INSURANCE COMPANY | 316 | $229K |
| Stop-loss / reinsurancereinsurance | LIFEWISE ASSURANCE COMPANY | 382 | $429K |
| Other | STANDARD INSURANCE COMPANY | 316 | $229K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 392 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.